How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $537.03 Median $537.03 Typical High $616.60 | Facility | None | $537.03 | $537.03 | $616.60 |
Aetna Setting Professional Modifier None Typical Low $489.78 Median $537.03 Typical High $794.33 | Professional | None | $489.78 | $537.03 | $794.33 |
Ambetter Setting Professional Modifier None Typical Low $676.08 Median $758.58 Typical High $1,202.26 | Professional | None | $676.08 | $758.58 | $1,202.26 |
Anthem BCBS Setting Facility Modifier None Typical Low $912.01 Median $912.01 Typical High $4,168.69 | Facility | None | $912.01 | $912.01 | $4,168.69 |
Anthem BCBS Setting Professional Modifier None Typical Low $676.08 Median $741.31 Typical High $1,202.26 | Professional | None | $676.08 | $741.31 | $1,202.26 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $74.13 Median $74.13 Typical High $741.31 | Professional | RR · Rental | $74.13 | $74.13 | $741.31 |
BCBS Kansas City Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $912.01 | Professional | None | $537.03 | $537.03 | $912.01 |
Cigna Setting Facility Modifier None Typical Low $812.83 Median $812.83 Typical High $954.99 | Facility | None | $812.83 | $812.83 | $954.99 |
Cigna Setting Professional Modifier None Typical Low $588.84 Median $588.84 Typical High $812.83 | Professional | None | $588.84 | $588.84 | $812.83 |
Cigna Setting Professional Modifier RR · Rental Typical Low $69.18 Median $69.18 Typical High $81.28 | Professional | RR · Rental | $69.18 | $69.18 | $81.28 |
Medica Setting Facility Modifier None Typical Low $537.03 Median $1,000.00 Typical High $3,890.45 | Facility | None | $537.03 | $1,000.00 | $3,890.45 |
Medica Setting Professional Modifier None Typical Low $524.81 Median $707.95 Typical High $6,456.54 | Professional | None | $524.81 | $707.95 | $6,456.54 |
United Setting Facility Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $1,445.44 | Facility | None | $1,445.44 | $1,445.44 | $1,445.44 |
United Setting Professional Modifier None Typical Low $478.63 Median $691.83 Typical High $1,000.00 | Professional | None | $478.63 | $691.83 | $1,000.00 |
5 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $239.88 Median $269.15 Typical High $309.03 | Professional | 52 · Reduced service | $239.88 | $269.15 | $309.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $97.72 Median $107.15 Typical High $123.03 | Professional | 53 · Discontinued | $97.72 | $107.15 | $123.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $72.44 Median $81.28 Typical High $93.33 | Professional | 55 · Aftercare only | $72.44 | $81.28 | $93.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $48.98 Median $53.70 Typical High $61.66 | Professional | 56 · Pre-op care only | $48.98 | $53.70 | $61.66 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $467.74 Median $562.34 Typical High $1,023.29 | Professional | UE · Used equipment | $467.74 | $562.34 | $1,023.29 |
Where Missouri sits
The same service costs 2.6 times more in Hawaii than in Utah. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Missouri· 37th of 51
$708
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.